NNK BEHAVIORAL HEALTH GROUP LLC NPI 1588178487

NPI Information

NPI: 1588178487
Provider Name: NNK BEHAVIORAL HEALTH GROUP LLC
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Organization
Doing Business As: NNK 4 L.I.F.E.
Address: 1194 147TH ST STE 5
MONTICELLO, GA
ZIP 31064
Phone: (678) 561-3091

Map and Directions

Get Directions

NPI Details

NNK BEHAVIORAL HEALTH GROUP LLC is a mental health counselor in Monticello, GA. NNK BEHAVIORAL HEALTH GROUP LLC NPI is 1588178487. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nnk 4 L.i.f.e..

The provider's business location address is:

1194 147TH ST STE 5
MONTICELLO, GA
ZIP 31064-068
Phone: (678) 561-3091
Fax: (404) 795-8974

The provider's authorized official is Nicole N Benton .
The authorized official title is Ceo and has the following contact phone number (404) 438-3677.

The enumeration date for this NPI number is 11/30/2017 and was last updated on 12/31/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	8941	GEORGIA	No
2	101YM0800X	Counselor	Mental Health	8941	GEORGIA	Yes
3	251S00000X	Community/Behavioral Health				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003181947J	MEDICAID	GEORGIA
2	003181947A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI